MEDICARE: KAREN CHAVEZ VASQUEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1396697702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN CHAVEZ VASQUEZ

Provider Business Mailing Address
First Line	:	4084 REGENT DR
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76308-1508
Country	:	US
Telephone Number	:	940-228-5297
Fax Number	:	940-500-4025

Provider Business Practice Location Address
First Line	:	4084 REGENT DR
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76308-1508
Country	:	US
Telephone Number	:	940-228-5297
Fax Number	:	940-500-4025

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “ KAREN CHAVEZ VASQUEZ ” Practice Location

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